Altoona OB/GYN Associates, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD068355L Issued in PA

Legal business name

ALTOONA OB/GYN ASSOCIATES, INC.

Practice address

1701 12TH Ave
Building a
Altoona, PA 16601-3100

Phone

(814) 944-5062

Fax

(814) 944-5557

NPI assigned

Jul 16, 2006

Last updated

Aug 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brooke O'Shell

Title

Office Manager

Phone

(814) 944-7097

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1164449930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "address_2": "BUILDING A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-944-5062",
            "fax_number": "814-944-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "address_2": "BUILDING A",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-944-5062",
            "fax_number": "814-944-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTOONA OB/GYN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "O'SHELL",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-944-7097"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD068355L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008400670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Altoona, PA
• Providers in Altoona, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.